Evidence map›Paper›PMID 21926186›Full record

Trial reportAnnals of the rheumatic diseases2011

Exploratory analyses of the association of MRI with clinical, laboratory and radiographic findings in patients with rheumatoid arthritis.

Paul Emery, Désirée van der Heijde, Mikkel Ostergaard, Philip G Conaghan, Mark C Genovese, Edward C Keystone, Roy Fleischmann, Elizabeth C Hsia, Weichun Xu, Stephen Xu and 1 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of the rheumatic diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  13. [Janus kinase inhibitors].Zeitschrift fur Rheumatologie · 2012
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 5 countries.

Paul EmeryUniversity of Leeds, NIHR Leeds Musculoskeletal Biomedical Research Unit, UK. p.emery@leeds.ac.uk
Désirée van der Heijde
Mikkel Ostergaard
Philip G Conaghan
Mark C Genovese
Edward C Keystone
Roy Fleischmann
Elizabeth C Hsia
Weichun Xu
Stephen Xu
Mahboob U Rahman
Chapel Allerton Hospital · GBCopenhagen University Hospital · DKLeiden University Medical Center · NLNIHR Leeds Musculoskeletal Biomedical Research Unit · GBPalo Alto University · USPfizer (United States) · USThe University of Texas Southwestern Medical Center · USUniversity of Pennsylvania · USUniversity of Toronto · CA

Funding

Versus Arthritis 18475
6 · The paper itself

Abstract

objectivesEvaluate relationships between MRI and clinical/laboratory/radiographic findings in rheumatoid arthritis (RA).

methods637 methotrexate-naive patients (GO-BEFORE) and 444 patients with active RA despite methotrexate (GO-FORWARD) were randomly assigned to subcutaneous placebo + methotrexate, golimumab 100mg + placebo, golimumab 50mg + methotrexate, or golimumab 100mg + methotrexate every-4-weeks. In GO-BEFORE(n=318) and GO-FORWARD(n=240) substudies, MRI of dominant wrist/metacarpophalangeal joints were scored for synovitis, bone oedema and bone erosion (RA MRI scoring (RAMRIS) system). Relationships between RAMRIS scores and serum C-reactive protein (CRP), 28-joint count disease activity score (DAS28-CRP) and van der Heijde modified Sharp (vdH-S) scores were assessed.

resultsBaseline and weeks 24/28 DAS28-CRP, CRP, and vdH-S generally correlated well with baseline and week 24 RAMRIS synovitis, oedema and erosion scores. Early (week 4) CRP changes correlated with later (week 12) RAMRIS synovitis/oedema change scores; earlier (week 12) changes in some RAMRIS scores correlated with later (weeks 24/28) changes in vdH-S. Significant correlations between RAMRIS change scores and clinical/radiographic change scores were weak.

conclusionsMRI and clinical/laboratory/radiographic measures generally correlated well. Associations between earlier changes in CRP and later changes in RAMRIS synovitis/osteitis were observed. Changes in MRI and clinical/radiographic measures did not correlate well, probably because MRI is more sensitive than radiographs and more objective than DAS28-CRP.

Indexed as

Magnetic Resonance ImagingAdultAntibodies, MonoclonalAntirheumatic AgentsArthritis, RheumatoidBiomarkersC-Reactive ProteinDrug Therapy, CombinationFemaleHumansMaleMethotrexateMiddle AgedRadiographySeverity of Illness IndexTreatment OutcomeAntibodies, MonoclonalAntirheumatic AgentsBiomarkersC-Reactive ProteingolimumabMethotrexate

Identifiers

PMID21926186
PMCPMC3212698
OpenAlexW2152721826

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.